CLOVIS SWING BED SNF
NPI 1053397497
Medicare Defined Swing Bed Unit in Clovis, NM
NPI Status: Active since December 19, 2005
Contact Information
2200 W 21ST ST
CLOVIS, NM
ZIP 88101
Phone: (505) 469-7577
Fax: (505) 769-7595
- Organization
- Medicare Defined Swing Bed Unit
About CLOVIS SWING BED SNF
This page provides the complete NPI Profile along with additional information for Clovis Swing Bed Snf, a provider established in Clovis, New Mexico operating as a Medicare Defined Swing Bed Unit. The healthcare provider is registered in the NPI registry with number 1053397497 assigned on December 2005. The practitioner's primary taxonomy code is 275N00000X with license number 59304 (NM). The provider is registered as an organization and their NPI record was last updated 5 years ago. The provider's is doing business as Clovis Swing Bed Snf. The authorized official of this NPI record is Mr. Mark Reifsteck (Sr Vp Chief Operating Officer)
- NPI
- 1053397497
- Provider Legal Name
- PRESBYTERIAN HEALTHCARE SERVICES
- Other Organization Name
- CLOVIS SWING BED SNF
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 2200 W 21ST ST CLOVIS, NM 88101
- Location Phone
- (505) 469-7577
- Location Fax
- (505) 769-7595
- Mailing Address
- PO BOX 26666 PROVIDER ENROLLMENT ALBUQUERQUE, NM 87125
- Mailing Phone
- (505) 823-8528
- Mailing Fax
- (505) 769-7595
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 12-19-2005
- Last Update Date
- 08-22-2020
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Medicare Defined Swing Bed Unit
- Taxonomy Code
- 275N00000X
- Type
- Hospital Units
- License No.
- 59304
- License State
- NM
- Taxonomy Description
- A unit of a hospital that has a Medicare provider agreement and has been granted approval from HCFA to provide post-hospital extended care services and be reimbursed as a swing-bed unit.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2251701 | OTHER (01) | NM | PART B |
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 0 | 5 | 3 | 3 | 9 | 7 | 4 | 9 | 7 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 0 | 10 | 3 | 6 | 9 | 14 | 4 | 18 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 0 + 1 + 0 + 3 + 6 + 9 + 1 + 4 + 4 + 1 + 8 + 24 = 63 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 63 = 7 | 7 | ||||||||
The NPI number 1053397497 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 9 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1043304413 | ARNEL ANTHONY S BOBADILLA MD Individual | Internal Medicine (Pulmonary Disease) | 2200 W 21ST ST PLAINS REGIONAL MEDICAL GROUP CLOVIS, NM 88101 (505) 769-7577 |
| 1689268450 | MRS. KRISTIN BENAVIDEZ FNP, MSN, RN Individual | Nurse Practitioner (Family) | 2200 W 21ST ST CLOVIS, NM 88101 (575) 769-7577 |
| 1750624714 | DR. ANDREA DANIELLE WALKER MD Individual | Obstetrics & Gynecology | 2200 W 21ST ST CLOVIS, NM 88101 (575) 742-7894 |
| 1881307924 | AMBER LOTT APRN Individual | Nurse Practitioner (Family) | 2200 W 21ST ST CLOVIS, NM 88101 (575) 769-7577 |
| 1528603339 | DANNETTE REESE MCGEE CNP Individual | Nurse Practitioner | 2200 W 21ST ST CLOVIS, NM 88101 (575) 742-7894 |
| 1629563051 | ADORA ANUDU MD Individual | Pediatrics | 2200 W 21ST ST CLOVIS, NM 88101 (575) 769-7577 |
| 1710224167 | MR. RYAN WINDER NORDGREN CRNA Individual | Nurse Anesthetist, Certified Registered | 2200 W 21ST ST CLOVIS, NM 88101 (801) 633-4702 |
| 1679098313 | CHIOMA MUOGHALU MD Individual | Pediatrics | 2200 W 21ST ST CLOVIS, NM 88101 (575) 769-7577 |
| 1114445590 | MARK A STANDLEY PA-C Individual | Physician Assistant | 2200 W 21ST ST SAME DAY CARE CLINIC - CLOVIS CLOVIS, NM 88101 (505) 769-7577 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1053397497, enumerated in the NPI registry as an "organization" on December 19, 2005
The provider is located at 2200 W 21st St Clovis, Nm 88101 and the phone number is (505) 469-7577
This medical organization specializes in Medicare Defined Swing Bed Unit with taxonomy code 275N00000X
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
This NPI record was last updated on December 19, 2005. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.